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Disclosure of Foreign Assets & Income by Resident in Income-tax Return

The following are the details of Foreign Assets and Income from any source outside India to be disclosed in the Income-tax Return by a Resident of India (Other than not ordinarily resident).

1. Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20…..

Country name

Country code

Name of financial institution

Address of financial institution

ZIP code

Account number

Status

Account opening date

Peak balance during the period

Closing balance

Gross interest paid/credited to the account during the period

2. Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20….

Country name

Country code

Name of financial institution

Address of financial institution

ZIP code

Account number

Status

Account opening date

Peak balance during the period

Closing balance

Gross interest paid/credited to the account during the period

3. Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as on 31st day of December 20….

Country name

Country code

Name of entity

Address of entity

ZIP code

Nature of entity

Date of acquiring the interest

Initial value of the investment

Peak value of investment during the period

Closing value

Total gross amount paid/credited with respect to the holding during the period

Total gross proceeds from sale or redemption of investment during the period

4. Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20…

Country name

Country code

Name of financial institution in which insurance contract held

Address of financial institution

ZIP code

Date of contract

The cash value or surrender value of the contract

Total gross amount paid/credited with respect to the contract during the period

5. Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20…

Country Name and code

Zip Code

Nature of entity

Name and Address of the Entity

Nature of Interest Direct/ Beneficial owner/ Beneficiary

Date since held

Total Investment (at cost) (in rupees)

Income accrued from such Interest

Nature of Income

Income taxable and offered in this return

  1. Amount
  2. Schedule where offered
  3. Item number of schedule

6. Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20…

Country Name and code

ZIP Code

Address of the Property

Ownership Direct/ Beneficial owner/ Beneficiary

Date of acquisition

Total Investment

Income derived from the property

Nature of Income

Income taxable and offered in this return

  1. Amount
  2. Schedule where offered
  3. Item number of schedule

7. Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20….

Country Name and code

ZIP Code

Nature of Asset

Ownership Direct/ Beneficial owner/ Beneficiary

Date of acquisition

Total Investment

Income derived from the asset

Nature of Income

Income taxable and offered in this return

  1. Amount
  2. Schedule where offered
  3. Item number of schedule

8. Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending as on 31st day of December 20…and which has not been included in 1 to 7 above.

Name of the Institution in which the account is held

Address of the Institution

Country Name and Code

ZIP Code

Name of the account holder

Account Number

Peak Balance/ Investment during the year

Whether income accrued is taxable in your hands?

If yes, Income accrued in the account

If yes, Income offered in this return

  1. Amount
  2. Schedule where offered
  3. Item number of schedule

9. Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor.

Country Name and code

ZIP Code

Name and address of the trust

Name and address of trustees

Name and address of Settlor

Name and address of Beneficiaries

Date since position held

Whether income derived is taxable in your hands?

If yes, Income derived from the trust

If yes, Income offered in this return

  1. Amount
  2. Schedule where offered
  3. Item number of schedule

 

10 Details of any other income derived from any source outside India which is not included in items above and, income under the head business or profession.

Country Name and code

ZIP Code

Name and address of the person from whom derived

whom derived Income derived

Nature of income

Whether taxable in your hands?

If yes, Income offered in this return

  1. Amount
  2. Schedule where offered
  3. Item number of schedule
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